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Individual

ANDRA M MOODY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
119 ROCKVIEW TER, ROCHESTER, NY 14606-1914
(585) 309-0553
Mailing address
119 ROCKVIEW TER, ROCHESTER, NY 14606-1914
(585) 309-0553

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
341022
NY

Other

Enumeration date
06/28/2021
Last updated
06/28/2021
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